Auditor III - Remote

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Job description

Are you passionate about improving the quality of healthcare?

Are you ready to leverage your talents to make healthcare better for everyone?

Do you want the opportunity to give back to your community?

Do you want to have fun at work?

Then join the growing team at Health Services Advisory Group (HSAG) that is transforming the delivery of healthcare in the United States!

Summary

HSAG is nationally recognized as an industry leader in the areas of audits, data analysis, measure development, and patient satisfaction surveys. We are in search of talented individuals who are interested in a career in healthcare performance measure auditing as an Auditor III in HSAG's Audits department within the Data Science & Advanced Analytics division. Together we can spread positive change to make healthcare better.

UNIQUE BENEFITS

The Auditor III position benefits from HSAG's desire to grow its staff into future leaders of healthcare quality improvement in the nation. HSAG's auditors are provided formal training in an assortment of healthcare-related topics, including health policy, clinical concepts, overview of analytic methods, data sources, and management techniques.

HSAG offers:

• A comfortable work-life balance, and flexible work schedules.
• Three weeks of paid time off and 15 company-paid holidays where staff leave two hours early prior to each holiday to get a "jump start" on holiday festivities.

HSAG offers a competitive benefit package which includes medical, dental, vision, tuition reimbursement, and 401(k).

DESCRIPTION

The Auditor III is a major contributor to the Audits department's work that spans the broad spectrum of healthcare performance measurement projects at HSAG. Driven by intellectual curiosity and a passion for healthcare quality, this position performs healthcare auditing, data validation, and leads performance measurement projects through various stages including implementation, day-to-day operations, audit support, evaluation, and reporting. Activities include independently developing and finalizing work plans and timelines; independently leading multiple project tasks; guiding coordination and Auditor 1 and II staff in oversight and maintenance of project files and other project tasks; leading client teleconferences and meetings; performing online research on healthcare topics; leading performance measure validation audits; and providing regular progress reports to Data Science & Advanced Analytics management staff.

Details regarding potential project assignments will be discussed with potential candidates during the interview process.

Essential Competencies, Duties and Responsibilities

• Serve as a major member of HSAG's Audits department within DSAA.
• Serve as a lead auditor for all performance measure validation audits.
• Lead the management of multiple client contracts.
• Manage supplemental Healthcare Effectiveness Data and Information Set (HEDIS ) 1 audit operations with limited supervision.
• Assists in responding to new business opportunities and RFPs as a minor contributor.
• Act in a liaison capacity between appropriate management personnel and staff, transmitting decisions and information to organizational units as appropriate, as well as outside agencies and organizations.
• Lead project management tasks, including communication (written, phone, fax).
• Communicate directly with project partners, consultants, subcontractors, and other entities on audit and performance measure validation-related projects.
• Maintain, tag, and sort documents for assigned projects on appropriate SharePoint team sites and HSAG's corporate and federal networks following HSAG prescribed governance rules.
• Prepare project deliverables and lead documentation and submission of deliverables using the appropriate mechanism (i.e., electronic, hard copy, direct data entry etc.).
• Develop and adhere to project timeline and task schedules, identify opportunities to improve the project process, and develop quality improvement activities accordingly.
• Meet agreed-upon deadlines in a timely fashion; independently and accurately prepare and type deliverables, reports, various project documents, letters, and other material.
• Lead and complete the development of written and data-oriented reports in Microsoft Word and Excel. Serve as a lead author.
• Conduct research via the Internet including literature searches of clinical topics as assigned.
• Participate in pertinent healthcare educational and training presentations as required.
• Assist in conducting Internal Quality Control (IQC) monitoring regarding efficiency/effectiveness of activities conducted. Present issues and recommended solutions and take corrective actions as indicated.
• Serve as a main reference to HSAG staff and clients on HEDIS measures and non-HEDIS performance measures as applicable.
• Represent HSAG in a professional manner at all times.

1 HEDIS Certified Measures is a registered trademark of the National Committee for Quality Assurance (NCQA).

Education and/or Experience

• Bachelor's degree in business, science, or healthcare-related field. Master's degree is preferred.
• At least five years of work experience in healthcare and a minimum of seven years of work experience are required.
• At least four years of auditing experience and two years of experience as a lead auditor, with at least two years in HEDIS auditing and/or data validation.
• Intermediate knowledge of performance measures is required.
• Experience writing client reports as a lead author is required.
• Prior experience leading multiple medium-sized projects or contracts is required.
• Experience writing responses to requests for proposals is required.

Other Qualifications

• Proficient English/communication skills (i.e., public speaking, spelling, composition, grammar, proofreading and editing).
• Proficient interpersonal skills.
• Experience in Microsoft Word, PowerPoint, and Outlook.
• Experience in Microsoft Excel.
• Experience in conducting research via the Internet.
• Ability to handle several projects simultaneously and work with multiple teams.

Disclaimer

This is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the position. While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, work load, rush jobs requiring non-regular work hours, or technological developments).

HSAG is an EEO Employer of Veterans protected under Section 4212.

If you have special needs and require assistance completing our employment application process, please feel free to contact us.

EOE M/F/Vet/Disability

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